AMELIASUNGprequiz,WITH CORRECT ANSWERS 2021 LATEST GRADED A.

1. Shoulder dystocia is a complication of labor related to which of these factors? Prolonged second stage of labor 2. Which of the following pregnancy-related conditions increase the risk for shoulder dystocia? Uncontrolled maternal gestational diabetes 3. A patient is admitted to the labor and delivery unit at 40 weeks gestation. Which of the following pieces of information collected during the patient interview would be most significant in alerting the nurse to the potential for shoulder dystocia? (SATA) Maternal height 5 ft, 3 in Estimated fetal weight 8 lb, 13 oz or more Maternal weight gain greater than 50 lb. 4. When a shoulder dystocia emergency is anticipated, what additional actions should be implemented by the nurse? (SATA) Put a step stool at the bedside Have extra staff available if needed Explain to the patient and family what may happen 5. The nurse has assessed that the patient in labor is at risk of shoulder dystocia. After delivery of the fetal head, the nurse states in a clear, loud voice, “Fetal heart rate 90 beats per minute with minimal variability.” Why is it important for the nurse to communicate this information? To inform the provider about the fetal status 6. What is a positive turtle sign? The fetal head emerges and then retracts tightly against the perineal floor. 7. What is the first action by the nurse to assist with the delivery of the fetal shoulders and body when there is shoulder dystocia? Flex the mother’s thighs toward her abdomen 8. The nurse documents the following events: crowning at 0749, fetal head emerged at 0800, McRobert’s maneuver performed at 0802, suprapubic pressure applied at 0806, and fetal body delivered at 0808. What is the significance of documenting these events? Provides an indicator of the potential for fetal compromise 9. Which of the following are common fetal or neonatal injuries seen after shoulder dystocia? (SATA) Asphyxia Erb’s palsy Fractured clavicle